Early discharge after surgery for breast cancer is safe [Full text]

	Acute psychiatric care is under increasing pressure [Full text]

	Steroid injections are more effective than physiotherapy in treating shoulder pain [Full text]

	Unemployment independently increases risk of suicide [Full text]

	Many patients with coeliac disease are overweight [Full text]

	Heavy metals may cause carcinoma of the gall bladder in India [Full text]

Editorials

	Diagnosing multidrug resistant tuberculosis in Britain
	F A Drobniewski
	BMJ  1998;317:1263-1264 [Full text] [PDF] [Request Permissions]

	Early discharge after surgery for breast cancer
	Lesley Fallowfield
	BMJ  1998;317:1264-1265 [Full text] [PDF] [Request Permissions]

	The costs of computing for primary care groups
	Andrew Willis
	BMJ  1998;317:1265-1266 [Full text] [PDF] [Request Permissions]

	Nicotine replacement therapy for a healthier nation
	Liam Smeeth, Godfrey Fowler
	BMJ  1998;317:1266-1267 [Full text] [PDF] [Request Permissions]

	Time for organisational development in healthcare organisations
	Christian Koeck
	BMJ  1998;317:1267-1268 [Full text] [PDF] [Request Permissions]

News

	Surgeons carry out too many operations on dying patients
	Annabel Ferriman
	BMJ  1998;317:1269 [Full text] [PDF]

	Doctors contributed to poor health of black South Africans
	Pat Sidley
	BMJ  1998;317:1269 [Full text] [PDF]

	In brief
	BMJ  1998;317:1270 [Full text] [PDF]

	Psychiatrists hit back at home secretary
	John Warden
	BMJ  1998;317:1270 [Full text] [PDF]

	EC calls for more testing ofalternative remedies
	Hugh Matthews
	BMJ  1998;317:1270 [Full text] [PDF]

	Doctors call for nicotine in cigarettes to be reduced
	Linda Beecham
	BMJ  1998;317:1271 [Full text] [PDF]

	One giant leap for NASA's public relations
	James Ciment
	BMJ  1998;317:1271 [Full text] [PDF]

	Brain cells can regenerate
	Abi Berger
	BMJ  1998;317:1272 [Full text] [PDF]

	Bavaria forced to lift abortion restrictions
	Sandra Goldbeck-Wood
	BMJ  1998;317:1272 [Full text] [PDF]

	Is EU health policy fit for the next millennium?
	Tessa Richards
	BMJ  1998;317:1272 [Full text] [PDF]

	Patients with cancer denied best treatment
	Annabel Ferriman
	BMJ  1998;317:1273 [Full text] [PDF]

	Beef was not "perfectly safe"
	John Warden
	BMJ  1998;317:1273 [Full text] [PDF]

	Surgeon accused of letting nurse operate
	Xavier Bosch
	BMJ  1998;317:1273 [Full text] [PDF]

	Food plan needed to reduce deaths from heart disease in Britain
	Jenny Bryan
	BMJ  1998;317:1274 [Full text] [PDF]

	FDA approves drug for women at cancer risk
	Richard Woodman
	BMJ  1998;317:1274 [Full text] [PDF]

	Studies end hopes of reducing complex regimen of AIDS drugs
	Scott Gottlieb
	BMJ  1998;317:1274 [Full text] [PDF]

News extra [these stories appear only on the web]

	US unveils new DNA database
	Fred Charatan
	BMJ  1998;317:1274 [Full text]

Papers

	Randomised controlled trial of effects of early discharge after surgery for breast cancer
	Nigel Bundred, Peter Maguire, Jill Reynolds, Jill Grimshaw, Julie Morris, Lesley Thomson, Lester Barr, Andrew Baildam
	BMJ  1998;317:1275-1279 [Abstract] [Full text] [PDF] [Request Permissions]

	One day survey by the Mental Health Act Commission of acute adult psychiatric inpatient wards in England and Wales
	Richard Ford, Graham Durcan, Lesley Warner, Pollyanna Hardy, Matt Muijen
	BMJ  1998;317:1279-1283 [Abstract] [Full text] [PDF] [Request Permissions]

	Suicide, deprivation, and unemployment: record linkage study
	Glyn Lewis, Andy Sloggett
	BMJ  1998;317:1283-1286 [Abstract] [Full text] [PDF] [Request Permissions]

	Association of rheumatic fever with serum albumin concentration and body iron stores in Bangladeshi children: case-control study
	M Mostafa Zaman, Nobuo Yoshiike, Mian Abdur Rouf, Sirajul Haque, Anisul Haque Chowdhury, Takeo Nakayama, Heizo Tanaka
	BMJ  1998;317:1287-1288 [Full text] [PDF] [Request Permissions]

	Biliary heavy metal concentrations in carcinoma of the gall bladder: case-control study
	V K Shukla, A Prakash, B D Tripathi, D C S Reddy, S Singh
	BMJ  1998;317:1288-1289 [Full text] [PDF] [Request Permissions]

	Prospective study of body mass index in patients with coeliac disease
	William Dickey, Shelagh Bodkin
	BMJ  1998;317:1290 [Full text] [PDF] [Request Permissions]

	Drug points: Facial vasculitic rash associated with intravenous immunoglobulin
	M Howse, L Bindoff, A Carmichael
	BMJ  1998;317:1291 [Full text] [Request Permissions]

	Drug points: Fever associated with cyclosporin for treating atopic dermatitis
	M D Thomas, L J Cook
	BMJ  1998;317:1291 [Full text] [Request Permissions]

Clinical review

	Science, medicine, and the future: Infection with HIV-1
	Barney S Graham
	BMJ  1998;317:1297-1301 [Full text] [PDF] [Request Permissions]

	Understanding controlled trials: Randomisation methods in controlled trials
	Chris Roberts, David Torgerson
	BMJ  1998;317:1301-1310 [Full text] [PDF] [Request Permissions]

	ABC of oxygen: Oxygen transport1. Basic principles
	D F Treacher, R M Leach
	BMJ  1998;317:1302-1306 [Full text] [PDF] [Request Permissions]

General practice

	Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: randomised trial
	D A W M van der Windt, B W Koes, W Devillé, A J P Boeke, B A de Jong, L M Bouter
	BMJ  1998;317:1292-1296 [Abstract] [Full text] [PDF] [Request Permissions]

Soundings

	Remember them?
	Colin Douglas
	BMJ  1998;317:1329 [Full text] [Request Permissions]

Personal views

	The structured exam has taken over
	Roy Meadow
	BMJ  1998;317:1329 [Full text] [Request Permissions]

Education and debate

	Putting the risk of breast cancer in perspective
	John P Bunker, Joan Houghton, Michael Baum
	BMJ  1998;317:1307-1309 [Full text] [PDF] [Request Permissions]

	Confidence intervals for the number needed to treat
	Douglas G Altman
	BMJ  1998;317:1309-1312 [Full text] [PDF] [Request Permissions]

	Theories in health care and research: Theories of consent
	Priscilla Alderson, Christopher Goodey
	BMJ  1998;317:1313-1315 [Full text] [PDF] [Request Permissions]

Letters

This week's letters [PDF]

	Satisfaction with nurse specialists in breast care clinics
	J M Dixon, J Lamb, G Stones, A Rahman, D Mitchell, M Bramley, G J Byrne, N J Bundred, L Garvican, P Littlejohns, N P M Sacks
	BMJ  1998;317:1316 [Full text] [Request Permissions]

	Resolution of peanut allergy
	Tim David, Jonathan O'B Hourihane, Stephen A Roberts, John O Warner
	BMJ  1998;317:1317 [Full text] [Request Permissions]

	Odds ratios should be avoided when events are common
	Douglas G Altman, Jonathon J Deeks, David L Sackett
	BMJ  1998;317:1318 [Full text] [Request Permissions]

	Aspirin prophylaxis for vascular disease
	D Fitzmaurice, C P Thomas, Harvey Chant, Shirley Fearn, Charles McCollum, Martin Eccles, Nick Freemantle, James Mason
	BMJ  1998;317:1318 [Full text] [Request Permissions]

	Internet can be accessed from NHSnet
	Simon de Lusignan, Adrian Brown
	BMJ  1998;317:1319 [Full text] [Request Permissions]

	Visual impairment is not enough to assess need for treatment
	Alan Mordue, David W Parkin
	BMJ  1998;317:1319 [Full text] [Request Permissions]

	Provision of intensive care for children
	Andrew Berry, David R Goldhill, P Stuart Withington, Jon Nicholl, Jane Ratcliffe, Gale Pearson, F Shann
	BMJ  1998;317:1320 [Full text] [Request Permissions]

	Knowledge of cardiothoracic ratio adds to cardiovascular risk stratification
	Carole Hart, George Davey Smith
	BMJ  1998;317:1321 [Full text] [Request Permissions]

	Guideline may help in prescribing vigabatrin
	Richard E Appleton
	BMJ  1998;317:1322 [Full text] [Request Permissions] [extra]

Obituaries

This week's obituaries [PDF]

	Martin Ware • Sabiha Al-Dabbagh • Francis William Blacklay • John Antony Boucher • John Halliday Garson • Kenneth Michael Hay • Ronald Sherrington Ogborn • Susan Marion Wood
	Dougal Swinscow, Tony Smith, Sam Khulusi, Peter Blacklay, David Cooper, Robert Carr, Alan Evans, Tony Ogborn, Keith Jones
	BMJ  1998;317:1323 [Full text]

Minerva

	Minerva
	BMJ  1998;317:1330 [Full text] [PDF] [Request Permissions]

Fillers

	Endpiece: Licensed to kill
	BMJ  1998;317:1291 [Full text] [Request Permissions]

	Mistaken diagnosis: Long words ... wrong words
	Elizabeth Reeves
	BMJ  1998;317:1302 [Full text] [Request Permissions]

	One hundred years ago: Exercise and over-exercise
	BMJ  1998;317:1313 [Full text] [Request Permissions]

	Endpieces: There is a limit
	BMJ  1998;317:1313 [Full text] [Request Permissions]

Career focus

	Working in the air
	Terry Martin
	BMJ  1998;317:2 [Full text] [Request Permissions]

	Briefing: The annual conference of the Institute of Personnel and Development ...
	BMJ  1998;317:3 [Full text] [Request Permissions]

	Briefing: Still more on mentoring - a useful summary in the ...
	BMJ  1998;317:3 [Full text] [Request Permissions]

	Briefing: The conference I did attend on your behalf was that ...
	BMJ  1998;317:3 [Full text] [Request Permissions]

CHOICE

	The pleasure of ignorance
	BMJ  1998;317 [Full text] [PDF] [Request Permissions]

CHOICE GP

	The pleasure of ignorance
	BMJ  1998;317 [Full text] [PDF] [Request Permissions]

MEDICOPOLITICAL DIGEST

	Suspension procedures for doctors to be reviewed • Doctor Patient Partnership tackles men's health • BMA chairman speaks out on clinical governance
	BMJ  1998;317:1325 [Full text] [PDF] [Request Permissions]

MEDICINE AND MULTIMEDIA

	Book: Evidence Based Cardiology
	John R Hampton
	BMJ  1998;317:1326 [Full text] [PDF] [Request Permissions]

	Book: Moral Panics
	A M Daniels
	BMJ  1998;317:1326 [Full text] [Request Permissions]

	Book: In arduis fidelis: Centenary History of The Royal Army Medical Corps 1898-1998
	John Pearn
	BMJ  1998;317:1326 [Full text] [Request Permissions]

	Media: Surgeon hits back at bullies in the press
	Susan Mayor
	BMJ  1998;317:1326 [Full text] [Request Permissions]

	Website of the week: http://www.tobacco.org
	Douglas Carnall
	BMJ  1998;317:1328 [Full text] [Request Permissions]

Career focus

Read this week's articles on http://bmjcareers.com/careerfocus

To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.